Intro to complete dentures

Question 1

Indications for complete dentures?

Answer 1

Edentulous

Remaining teeth cannot be saved

The remaining teeth cannot support removable partial and not acceptable alternatives are available

Pt refuses alternative tx recommendations

Question 2

Indications for implant dentures?

Answer 2

Given pt dentures 3 4 times

Or within 6 months/year it is loose

Question 3

Important questions to ask pt with denture?

Answer 3

How many dentures have you had

Question 4

Contra-indications for denture?

Answer 4

Another acceptable alternative is available

Physical or mental illness affects the pt ability to cooperate during the fabrication of the denture and to accept or wear the denture

The pt is hypersensitive to denture materials

Question 5

Components?

Answer 5

Base - designed to fir over the residual alveolar ridge and surrounding gingival area

Flange

Question 6

Border mould secondary impression?

Answer 6

Zinc oxide Euganol cement

Question 7

Post dam?

Answer 7

Retention of maxillary denture depends on the suction seal

Question 8

Artificial teeth?

Answer 8

Fabricated from acrylic or porcelain

Question 9

Appointment 1

Answer 9

RECORDS:

Updated health and dental history

Preliminary impressions

Radiographs

Photographs

Question 10

Appointment 2

Answer 10

Final impressions:

Landmarks of dental arches are accurately reproduced

Maxillary should include hamular notch, post damp tuberosities and frenulum attachments

Mandibular should include retro molar pads, oblique ridge, outline fo Mylohyoid ridge and genial tubercles, plus lingual, labial and buccal Freya

Laboratory prescription: materials/trays

Question 11

Appointment 3

Answer 11

TRY-IN OF BASEPLATE-OCCLUSAL RIM

Occlusal rim records
- vertical dimensions evaluated
-occlusal relationship
- smile line
- canine eminence
- selection of artificial teeth

Occlusal registration measurements:
- centric occlusion
- recursion
- lateral excursion
- protrusion

Question 12

Appointment 4

Answer 12

TRY-IN

Denture is evaluated for fit, comfort and stability

Appearance f the denture, including the shade, mold, and alignment of the teeth is verified

Retention of the denture setup is checked as teh pt verbalises f, v, s and th sounds; swallows and yawns

Occlusion of the denture checked

Laboratory prescription fo the completion of the denture prepared

Question 13

Appointment 5

Answer 13

New denture is inserted into pt mouth

Shade and mold of teh artificial teeth are checked fo natural appearance

Pt is requested to perform facial expressions and the actions of swallowing, chewing, and speaking, using s and th sounds

Occlusal is checked

Home instructions are given

Question 14

Home care instructions?

Answer 14

Thoroughly rinse the oral tissues at least once daily

All surfaces of the denture should be thoroughly cleaned with a denture brush and soap water/ rinse solution

When dentures are not in mouth, they must be stored na misuse airtight container to prevent drying and warpage

Question 15

Appointment 6

Answer 15

POST DELIVERY OF A FULL DENTURE

• check the mucosa for pressure areas and sore spots

Relieve areas of soreness/ulcers

Schedule recall appointment

Question 16

Immediate denture

Answer 16

Type of denture that is placed immediate after extractions of pt teeth.

This type of denture serves as a compress and bandage to protect the surgical site

Question 17

Immediate denture construction steps?

Answer 17

Occlusal wax rims are completed with posterior teeth and tried in
before extraction of anterior teeth. The denture, complete with the anterior teeth, is constructed, sterilized, and ready for placement
at the time of surgery.

Surgical template
Clear plastic impression tray of the anterior area that the
surgeon uses as a guide in properly contouring the remaining
alveolar ridge

Question 18

denture relining?

Answer 18

Relining is accomplished by placing a new layer of denture resin over the tissue surface of the prosthesis.

Question 19

steps of denture relining?

Answer 19

Impression is taken with the present denture used as the impression tray.

Patient is instructed to close-in normal occlusion.

Denture and written prescription are sent to the laboratory
technician for relining.

Question 20

simple denture repairs?

Answer 20

Simple repairs can be handled in the dental office laboratory by
using cold-cured acrylics

Question 21

complicated denture repairs?

Answer 21

Complicated repairs, particularly those involving the replacement
of teeth or the complex fracture of the denture, are usually sent
to the dental laboratory technician

Question 22

When to make copy dentures?

Answer 22

Old age patients satisfied with their old dentures

Dentures can break or require time for relining, the patient
should have a duplicate denture made, less critical to make one
in such scenarios.

Question 23

Maintenance of complete denture?

Answer 23

Similar to RPD acrylic

Needs to be out of the mouth whilst asleep

Needs to be cleaned before going to bed, after having a meal

No hot water or bleaching agents to be used

Needs to be kept in room temperature water over night